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Permit
' CITY OF TIGARD ELECTRICAL PERMIT ° PERMIT #: ELC2008 -00168 COMMUNITY DEVELOPMENT DATE ISSUED: 3/25/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 110AB -00200 SITE ADDRESS: 14411 SW PACIFIC HWY ZONING: C -G SUBDIVISION: CANTERBURY SQUARE LOT : 1 -3 JURISDICTION: TIG PROJECT: RIALTO Project Description: (7) branch circuits for TI. RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/ SVC/ FDR: 601 +amps - 1000 volts: MINOR LABEL (10): SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W /SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 7 IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: G C KOLVE MATES ELECTRIC 14389 SW PACIFIC HWY 11124 NE HALSEY TIGARD, OR 97224 PORTLAND, OR 97220 Phone: Contact #: PRI 503 - 516 -4142 FAX 503 - 695 -6263 FEES Description Date Amount Reg #: ELE 26 -828C (ELPRMT] ELC Permit 3/25/2008 $93.40 LIC 159371 TAX] 12% State Surchar 3/25/2008 $11.21 SUP 39925 Total $104.61 REQUIRED ITEMS AND REPORTS This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than :. • ays. • NTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 95 $01 -0010 through 3 A • : 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344. Issued - • '11/t , 4 , Permittee Signature: .zip.,„,.._ / 1-1 OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. • OWNER'S SIGNATURE: DATE: ONTRACTOR INSTALLATION ONLY R � O ,qS�OB SIGNATURE OF SUPR. ELEC' DATE S LICENSE NO: Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. S I Electrical Permit Application FOR OFFICE USE ONLY ' .,� City of Tigard Received 3 6$ Permit No.: '(.,G8 / I ' • 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review C Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit: 1 I C A I L D Inspection Line: 503.639.4175 p Date Ready /By: to 0 See Page 2 for Internet: www.tigard or.gov )V Q� Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW ❑ New construction ❑ Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below): ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ❑ 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system. ❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "I -3 ", Job no.: 1 Job site address: /, J IOOHP or more . occupancy. 4� / Sg ,, �a l � /7C �GCI ❑Si or more residential units. ❑ Recreational vehicle parks. City/State /ZIP: !� ❑ Health-care facilities. ❑ Supply voltage for more than ❑Hazardou locations. 600 volts nominal. Suite/bldg. /apt. no.: I 7-12 Proje ame: Q.t f g . u ,,. ❑ Service or feeder 600 amps or more. Cross street/directions to job site: Description FEE SCHEDULE J P I Qty. I Fee. I Total New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4 Tax map /parcel no.: Ea. add'I 500 sq. ft. or portion 33.40 1 Limited energy, residential 75.00 2 DESCRIPTION OF WORK (with above sq. ft.) Limited energy, multi - family 75.00 2 / (t J 4 4,92 _ / u residential (with above sq. ft.) / ✓ r Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 ❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2 Name: 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: • Over 1,000 amps or volts 454.65 2 City/State /ZIP: Temporary services or feeders installation, alteration, and/or relocation Phone: ( ) I Fax: ( ) 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 _ 2 Branch circuits — new, alteration, or ex tension, per panel Owner signature: Date: A. Fee for branch circuits with ❑ APPLICANT I ❑ CONTACT PERSON above service or feeder fee, 7 6.65 1 (6.5 2 each branch circuit Business name: B. Fee for branch circuits • Contact name: without service or feeder fee, ( 46.85 !4 , 2 first branch circuit Address: Each add'I branch circuit 6.65 _ 2 Miscellaneous (service or feeder not included) City/State /ZIP: Each manufactured or modular dwelling, service and/or feeder 90.90 2 Phone: ( ) Fax: : ( ) Reconnect only 66.85 2 E -mail: Pump or irrigation circle 53.40 • 2 CONTRACTOR Sign or outline lighting 53.40 2 1- S / _ ,� Signal panel, or limited - Business name: a C e__ ry energy panel, alteration, or Address: ///2.... L AT/ o /c, . y ,34,f is 6 79 extension. Describe: Page 2 2 City/State /ZIP: o f, -/ / .0 it 0, l� . X072 Zo Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: (1 b - it / qa- I Fax: (- ?j) 6' 9 -- Investigation per hour (1 hr min) 62.50 CCB Lic.: / sy "b7 r I Electrical Lic.: ' 6-� .B Suprv. Lic.: 3 q'gZC Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: D�� (Oh lip I Subtotal: , 10 r Print name: ./ 47i f in � Date: ?, - O Plan review (25% of permit fee): 4 State surcharge (12% of permit fee): . a1 Authorized signature: j /o TOTAL PERMIT FEE: �/ ± C This permit application expires Ifs permit is not obtained thin 180 Print name: �/ > Date: 3 - Z �-00 days after it has been accepted as complete. • Number of inspections allowed per permit. 1:\ Building \Permits\EL.C- PermitApp.doc 05/23/06 440- 4615T(11 /05/CON/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee for all residential systems combined $75.00 Check Type of Work Involved: ❑ A udio and Stereo Systems* ❑ B urglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ V acuum Systems* ❑ Other. r COMMERCIAL WORK ONLY: Fee for each commercial $75.00 system (SEE OAR 918- 309 -0000) Check Type of Work Involved: ❑ A udio and Stereo Systems ❑ Boiler Controls ❑ C lock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: _ *No licenses are required. Licenses are required for all other installations 1: 1Building \PerrnitslELC- PerrnitApp.doc 03/23/06 CITY OF TIGARD BUILDING DIVISION PERMIT #: EL.C2008 0!1168 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/25/2008 Phone: (503) 639 -4171 � gp l( Inspection Requests (24 Hrs.): (503) 639 -4175 `:_.. INSPECTION WORKSHEET FOR DATE: 5/27/2008 TIME: 7:01AM PAGE: 6 SITE ADDRESS: 14411 SW PACIFIC HWY CLASS OF WORK: SUBDIVISION: CANTERBURY SQUARE LOT #: 1 -3 TYPE OF USE: PROJECT NAME: RIALTO DESCRIPTION: (7) branch circuits for TI. OWNER: KOLVE, G C PHONE #: CONTRACTOR: MATES ELECTRIC PHONE #: 503-516-4142 Inspection Request Scheduled For: Date: 5/27/2008 Pour Time: Co. Inspection De ••tion ,Confirm # Contact # Message 199 Electrical final 070370- 1 503-516-4142 N Correc ions • - • ns ructions: gAPASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Uv 661-6 Date: Phone #: (503) 718- 2,44, CITY OF TIGARD • BUILDING DIVISION PERMIT #: ELG2008 00168 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/25/20013 Phone: (503) 639 -4171 n 111 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5/20/2008 TIME: 6:59AM PAGE: 4 SITE ADDRESS: 14411 SW PACIFIC HIM` CLASS OF WORK: SUBDIVISION: CANTERBURY SQUARE LOT #: 1 -3 TYPE OF USE: PROJECT NAME: RIALTO DESCRIPTION: (7) branch circuits for TI. OWNER: KOLVE, G C PHONE #: CONTRACTOR: MATES ELECTRIC )k) PHONE #: 503- 516 -4142 Inspection Request Scheduled For: Date: 5120/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 070165 -01 503.516-4142 Y Corrections /Comments /Instructions: vV 0 F oit. kei4C) Lt ' ..1 , t. t ti 'CI . , • 44 M r e.^3 er Z • 1 G-4/ a gay. w , Al: ► 7.11k • ■ a: .tAl t. v i44 matemuumumommiramkr,. \ vramit.. Yinr% ,sva, commas. ,,,,., ik I I. y& KO.►1 < *j 2 'ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS / ; FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: N 6e, 1,6 Date: 511ID Phone #: (503) 718- VILK7 CITY OF TIGARD • BUILDING DIVISION PERMIT #: ELC200B- 001613 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/25/200H Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5/1/2008 TIME: 7:00AM PAGE: B SITE ADDRESS: 14411 SW PACIFIC HWY CLASS OF WORK: SUBDIVISION: CANTERBURY SQUARE LOT #: 1 - TYPE OF USE: PROJECT NAME: RIALTO DESCRIPTION: (7) branch circuits for TI. OWNER: KOLVE, G C PHONE #: CONTRACTOR: MATES ELECTRIC PHONE #: 503 - 516 -4142 Inspection Request Scheduled For: Date: 5/1 /2008 Pour Time: Code # Inspection Description : - • -- • Contact # Message 199 Electrical final 069183-01 503-516-4142 N Corrections /Comments/ Instructions: © i -i_ 57i N foil. ( Co& 21__ 5' Rats tar ,\ Wis RR;cci 4 1 Lb 61■ w CS 6 V c4 i Cf2141 h1 t o 4G6. . (s N i t•1 V N c A.q r�CLve2 is kAi ` S o �3t i N w 4 L 41n 10 v.ii0.s N Q P R.0 v►W K.10 owsurIPAs AS ct ► J 6 � p 3 Ws.c. Ate. 330.30 . ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS y l FAIL N y e ,Z CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: (r I� �� Date: 51 lI v Phone #: (503) 718 VIA CITY OF TIGARD BUILDING DIVISION i - PERMIT #: ELC2008 001 B 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/ 25/200f3 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 411612008 TIME: 7:00AM PAGE: 31 SITE ADDRESS: 14411 SW PACIFIC HWY CLASS OF WORK: SUBDIVISION: CANTERBURY SQUARE LOT #: 1 - TYPE OF USE: PROJECT NAME: RIALTO DESCRIPTION: (7) branch circuits for TI. OWNER: KOLVE, G C PHONE #: CONTRACTOR: MATES ELECTRIC PHONE #: 603-616-4142 • Inspection Request Scheduled For: Date: 4/16/2008 Pour Time: Code # Inspection Description RA in irm Contact # sage o ica n 0 ; • 503.516.4142 Y II 2 V4 AU., CA:NA1K. Corrections /Comments /Instructions: Co r°— N a $ • w AIL.. co lI v N . PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: t6L6 Date: ('b( 01) Phone #: (503) 718- 2ttli CITY OF TIGARD , , . . BUILDING DIVISION PERMIT #: ELC200B 00168 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/25/2008 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 3/26/2008 TIME: 7:00AM PAGE: 21 SITE ADDRESS: 14411 SW PACIFIC HWY CLASS OF WORK: SUBDIVISION: CANTERBURY SQUARE LOT #: 1 - TYPE OF USE: PROJECT NAME: RIALTO DESCRIPTION: (7) branch circuits for TI. OWNER: KOLVE, G C PHONE #: CONTRACTOR: MATES ELECTRIC a6m1. PHONE #: 503-516-4142 Inspection Request Scheduled For: Date: 3/26/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 10:i Underground/slab cover 067361 -01 503- 516 -4142 Y Corrections /Comments /Instructions: I � PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Cr 06€5 l t) Date: ? J' 2- O 6 Phone #: (503) 718- ti'l'e